Core 1 - Groups experiencing health inequities Flashcards
acronym - any question that’s ‘groups experiencing health inequities’
NED SCENSE ROLE CIG
Nature,
Extent,
Determinants (Sociocultural, Environmental, Socioeconomic),
Role of Community,
Individual and
Government)
Nature/ Extent of ATSI + stats
3.3% of the population is ATSI
Lower life expectancy 10.6yrs less for males, 9.5yrs less for females
Mortality rates, infant mortality rates, disability levels all 2x as high as non-ATSI
Disease stats for ATSI (4) + why?
Cardiovascular disease:
Leading cause of death for ATSI people (27% of deaths),
3x as likely to die from CVD
- Due to lifestyle choices
Cancer:
Have higher rates of lung, mouth, throat, cervical cancer
Lower rates of colorectal, prostate, lymphomas
Mental health:
Males 14x death rate, females 12x death rate from mental health
Comorbidity:
Have 13x death rate from comorbidity
ATSI - outline sociocultural determinants effecting inequity + extra stats
(culture, peers, religion, family, media (5)
Culture - Ongoing effects of colonisation = lower self-worth, loss of cultural identity
Peers - influence smoking + drinking
Media - enlightening the public of the inequalities between ATSI + non- ATSI allowing for greater public awareness + action e.g. close the gap
Family - cycle of inequality
Stats
- 41% have poor nutrition, 1.5x as likely to be physically inactive, 2x as likely to smoke
ATSI - outline socioeconomic determinants effecting inequity + extra stats
(education, employment, income)
- More likely to be of low socioeconomic status
- Education = (2016) 60% of ATSI people completed year 12 compared to 86%
- 3x unemployment rates
- Income = less likely to have a stable income (14% of houses are overcrowded
ATSI - outline environmental determinate effecting inequality + extra stats
(Geo location, access to health services + facilities, access to technology)
24% live rural/remote so limits access to health services + facilities, have to travel further distances to access services so less likely to do so
51% have access to motor vehicle compared to 85%
Have poorer access to technology
ATSI - role of Idv/ Com. / Gov. in addressing health inequities
Individuals:
- empowered = positive health decisions
- individuals influence others around them
Communities:
- providing health services (e.g. clean parks/ recreational facilities)
- Need to ensure the fuel representation of ATSI individuals in action groups
Governments:
- Has been seen with programs such as Close the Gap (2008)
- Rudd apology speech (2008)
Rural and Remote - nature and extent + stats
28% of Australians live rural/remote
- 3x death rate for those under 65 in very remote areas
1.3x death from Coronary heart disease
R&R - outline sociocultural determinants effecting inequality + extra stats
(CPRFM)
Family - influences behaviour of children
- Peers = negative influences
- culture = poor attitudes of men
R&R - outline socioeconomic determinants effecting inequality
Employments - less job opporutinites = lower employment rates
lower education levels
decline in public infrastucture
R&R - outline environmental Determinants + extra stats
Geo location = poorer access to health services = must drive further so less likely to do so (take time off work)
Impact of natural disasters
R&R - role of Ind./Com./Gov. in addressing health inequities
Individual:
- feel empowered to make positive decisions
- take part in good healthy behaviours (e.g. exercise, good nutrition)
- stay in-shoool (eventuates) to greater employment
- need to access health services available to them
Communities:
- Must provide the health services needed by the people
- e.g. Royal flying doctor service/ com. support (men’s shed)
Government:
- Funding programs to assists with the delivery of health care
- R&R GP’s program (increased incentives)
- e.g. - Patient assisted travel schemes
